for step-by-step ordering instructions.
CAP Distribution Form pdf
To request a distribution/rollover of your Capital Accumulations Provision (CAP) monies download, complete and submit this form to Office of the President. Only separated employees can request a distribution of their CAP monies.
Compensatory Time Off (CTO) for Clerical (CX) Unit Employees (Word)
Colleagues: CUE has signed a side agreement with the University which will allow clerical unit employees to make an election of CTO vs. overtime pay at the time of hire, or in the month of June, 2005. As in past years, you will find attached a model communication to share with your eligible employees who work overtime. If you have any questions regarding the same, please direct them to Danny Gray at extension 40860.
Compensatory Time Off (CTO) for Research (RX) and Technical (TX) Unit Employees
(Word) pdf
These forms are for Research and Technical Employees to elect whether they wish to be compensated for overtime hours by pay or compensatory time off pursuant to the agreement between the University and University Professional and Technical Employees (UPTE).
Dual Employment (Word)
Dual employment is the term used to describe overtime worked by an employee in either (a) the employee's home department, but in a different job than the employee's permanent appointment or (b) a department other than the employee's home department. The department requesting the employee's additional overtime work initiated the approval process using this form. Prior approval is required before the dual employment work can begin.
Employment Application (Word)
The UCLA hiring department provides this application to external candidates prior to the interview process.Instructions are listed on the form.
Employee Development Fee Reimbursement Form (Word)
University employees who have completed their probationary period (if one is required) and whose performance is satisfactory or better may be reimbursed for classes taken that are not required by the department head in the performance of regular job duties but are approved for employee development. In most circumstances, the employee will pay for and complete the class before being reimbursed. The form requires the signature of the department head, evidence of satisfactory class completion, and proof of costs incurred when submitting it to the Personnel Services Unit of Campus Human Resources.
Job Description Form 1 (Word)
Job Description Form 2 and Instructions (Word)
This form is the official record of duties assigned to a position and the compentencies (skills, knowledge and abilities) required for satisfactory performance. It provides information necessary for job classifications, recruitement, and selection. A job description form should be prepared whenever a new postion is established. You must download the both 1 and 2 job description templates.
Leave Of Absence Notice (Word)
Replaced Time Certification for Leave of Absence and University Contribution Indicator. Form revised to Leave of Absence Notice, email completed form to your Benefits Analyst.
Performance Evaluation (Word)
Supervisors and managers may download brief guidelines and a recommended performance appraisal form designed to evaluate the performance of employees in a broad range of job classifications.
Preferential Rehire Process for Non-Represented PSS Positions (Part I and II) pdf
These forms are to be completed by the PSS Preferential Rehires (Non-Represented Professional and Support Staff ) when they have preference or for which they wish to exercise preference for a particular open PSS position that is posted. They are to complete Part I and send it to the Hiring department along with Part II. The forms along with a resume or application must be received by the department that is making the hiring decision by no later than 5:00 p.m. of the posted closing date.
Professional Development Program Application (Word)
This application packet contains a brief program description, application and supervisor's assessment form. Employees in PSS classification grades 2-5 are eligible to apply. Applicants can download and submit this packet in April of each year to the Organizational Improvement and Staff Development Unit of Campus Human Resources.
Reduced Fee Enrollment Application (Word)
A regular status employee who meets the admission requirements of the university is eligible for two-thirds’ reduction of both the University Registration Fee and the Educational Fee when enrolled in regular session courses of up to nine units or three courses per quarter or semester, whichever is greater. Upon acceptance as a student, the employee completes the form and forwards it to the Personnel Services Unit of Campus Human Resources.
Request for Order of Layoff Form (Word)
pdf
Departmental administrators shall complete this form before notifying affected employees of any department layoff proposal or reduction in time actions. The department shall submit the completed form to the Personnel Services Unit of Campus Human Resources for review prior to the proposed effective date of the action.
Request for Verification of Previous Employment (Word)
This form should be used for verification of previous University of California, California State University or State of California Employment Service credit.
Requisition Acknowledgement Packet
This packet is intended for the hiring department and consists of multiple forms and fact sheets to assist in the employment process.The following forms, two of which are mandatory, are included within this packet:UCLA Staff Employment Offer Verification Notice(mandatory), Affirmative Action Plan - Form A - Interview and Hire Record for Career Staff (mandatory), Model Notice Regarding Overtime Compensation (PPSM), Background Check Authorization, Sample Interview Rating Guide, Sample Reference Checking Form.
Service Award Request Form (Word)
Departmental Personnel Representatives should use this form when submitting requests for verification of an employee’s service credit. This form should be filled out approximately three months before the expected milestone date and submitted to the Personnel Services Unit of Campus Human Resources.
Severance Election Form for Personnel Policies for Staff Members
(WORD)
This form should be attached to the notice of layoff for employees covered by Personnel Policies for Staff Members (PPSM).
Severance Election Form for University Professional and Technical Employees (UPTE), Health Care Professionals (HX) Unit. (WORD)
This form should be attached to the notice of layoff for employees covered by University Professional and Technical Employees (UPTE), Health Care Professionals (HX) Unit.
Severance Election Form for University Professional and Technical Employees (UPTE), Research Support Professionals (RX) Unit.
(WORD)
This form should be attached to the notice of layoff for employees covered by University Professional and Technical Employees (UPTE), Research Support Professionals (RX) Unit.
Severance Election Form for University Professional and Technical Employees (UPTE), Technical (TX) Unit. (WORD)
This form should be attached to the notice of layoff for employees covered by University Professional and Technical Employees (UPTE), Technical (TX) Unit.
Severance Election Form for Coalition of University Employees (CUE). (WORD)
This form should be attached to the notice of layoff for employees covered by Coalition of University Employees (CUE).
Staff Achievement Award Program Nomination Form (Word)
This form is used for nominating employees for Incentive Awards and should be completed by the individual making a nomination of an eligible employee.
Staff Enrichment Program Application & Recommendation Form
This application packet contains a brief program description, application and supervisor's assessment form. Eligible employees are those in Administrative Specialist classifications, it's equivalent, or below. Applicants can download and submit this packet in September of each year to the Organizational Improvement and Staff Development Unit of Campus Human Resources.
Transfer Application (Word)
This form is for all UCLA campus employees seeking to transfer within UCLA.
Training Class Enrollment Application
Apply for Training and Development Program classes by completing this form. Please print clearly or type and be sure to include a departmental recharge number and your supervisor's signature indicating permission to attend and authorization to spend departmental funds. Mail applications to UCLA CHR, Training and Development Program, MC 146548.
Note: If you would like to enroll in on-line policy and procedure classes please fill out the enrollment application for online courses.
UCLA Extension Reduced Fee Enrollment and Departmental Recharge Application pdf
If you’re a UCLA employee who works at least 50% time, you can enroll in an Extension course at a 25% reduced fee discount (certain restrictions apply). This application packet contains information about UCLA Extension and the special Reduced Fee Enrollment and Departmental Recharge Application.
UCRP Waiver for Rehired Retirees pdf
UCRP Waiver for Rehired Retirees pdf - Waiver form for Rehired UCRP Retirees returning to UC employment.
UC Account Distribution Guide (doc)
UC Account Distribution Guide (WORD) - Helpful instruction guide for requesting distribution from UC retirement savings accounts, i.e. DCP and 403(b) plans.
UCLA Procedures for Reimbursement for Leaves for Union Business pdf
The Agreement between the University of California and AFSCME allows for AFSCME represented employees to be granted a Leave of Absence for Union Business. The Leave of Absence for Union Business Contract Article states that the University will be reimbursed for the employee's salary plus 36% to cover cost of employee's benefits. The UCLA Procedures for Reimbursement for Leaves for Union Business describes the procedure to be followed to obtain the reimbursement.
